Individual
DR. BHARAT KOTHAKOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5900 W OLYMPIC BLVD, LOS ANGELES, CA 90036
(310) 657-5900
Mailing address
2100 POWELL ST STE 900, EMERYVILLE, CA 94608-1844
(510) 350-2600
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A128255
CA
208D00000X
General Practice Physician
0
DC
Other
Enumeration date
07/06/2009
Last updated
01/23/2019
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